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New Patient & Other Forms

Please print these forms and bring them with you to your first visit to Comfort Care Pediatrics.

First Visit Forms

Family Information Sheet (36K)

Records Release Form (17K)

Office Policy Forms

HIPAA Authorization (19K)

Privacy Practices (47K)

Arbitration Form (576K)

Comfort Care Pediatrics
4546 S. 815 W. (Atherton Dr.)
Taylorsville, UT 84123
801.595.8844

Emergency
911

Hours
Monday - Friday
9 am until 5 pm

After Hours
801-408-6321

©2007 All Rights Reserved :: Comfort Care Pediatrics :: 4546 South 815 West, Suite 204 :: Taylorsville, Utah 84123 :: 801.595.8844 :: info@comfortcarepediatrics.com